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BMC veterinary research2025; 21(1); 675; doi: 10.1186/s12917-025-05120-0

Validation of a smart textile device for long-duration heart rate variability and detection of physiological arrhythmias in resting horses.

Abstract: A smart textile device has been developed for the recording of electrocardiograms (ECGs) in horses; however, the utility of this device for long-duration heart rate variability (HRV) monitoring and detection of physiological arrhythmias is unknown. Therefore, the objective of this study was to validate a smart textile device for HRV over long durations (6 h) in resting horses. ECGs were recorded simultaneously via the Myant Skiin Equine textile device and a reference device (Televet 100) in 12 horses. ECGs were evaluated by a blinded observer for arrhythmias, and HRV metrics were calculated. Agreement between the two devices was assessed via Bland‒Altman analysis and Lin's concordance correlation coefficient. Results: Substantial to perfect agreement was found for all the HRV metrics. Physiological arrhythmias were detected in all the recordings from the twelve horses. Small biases and substantial to perfect agreement were found between the two devices for sinoatrial blocks (ρc = 0.99), sinus pauses (ρc = 0.96), sinus arrhythmias (ρc = 0.96), sinus tachycardia (ρc = 0.99), and 2nd degree atrioventricular blocks (ρc = 1.0). Conclusions: This study demonstrates that a smart textile system is a practical alternative to the standard telemetric device for long-duration assessment of HRV and the detection of physiological arrhythmias in healthy, resting horses.
Publication Date: 2025-11-19 PubMed ID: 41257881PubMed Central: PMC12628555DOI: 10.1186/s12917-025-05120-0Google Scholar: Lookup
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  • Journal Article
  • Validation Study

Summary

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Research Overview

  • This study validated the accuracy of a smart textile device for long-term recording of heart rate variability (HRV) and detection of physiological arrhythmias in resting horses by comparing it to a standard reference ECG device.
  • The smart textile device showed high agreement with the reference device, indicating it can reliably monitor heart activity over extended periods in horses.

Background and Purpose

  • Electrocardiograms (ECGs) are essential for monitoring the heart’s electrical activity, including HRV and arrhythmias.
  • Traditional ECG devices used in horses can be bulky or impractical for long-duration monitoring.
  • A new smart textile device, integrated into horse-wearable fabric, has been developed for easier ECG recording over longer periods.
  • Before widespread use, this smart textile needed validation for its accuracy and reliability in measuring HRV and detecting arrhythmias compared to established devices.
  • The study focused on resting horses during a 6-hour monitoring period to understand the device’s performance in a controlled but extended setting.

Methods

  • Twelve healthy horses were equipped simultaneously with two ECG recording devices: the Myant Skiin Equine smart textile and the Televet 100 reference telemetric device.
  • The recording duration was 6 hours, focusing on resting horses to minimize external noise and movement artifacts.
  • ECG signals from both devices were evaluated by an observer who was blinded to the device identity to prevent bias in arrhythmia detection.
  • Heart Rate Variability (HRV) metrics were calculated from the recordings as indicators of autonomic regulation and heart rhythm health.
  • Statistical analyses were conducted to assess agreement: Bland–Altman analysis was used to quantify biases, and Lin’s concordance correlation coefficient (ρc) measured precision and accuracy between devices.

Results

  • Substantial to perfect agreement was observed for all HRV metrics between the smart textile and the reference device, indicating very similar outputs.
  • Physiological arrhythmias such as sinoatrial blocks, sinus pauses, sinus arrhythmias, sinus tachycardia, and second-degree atrioventricular (AV) blocks were detected in all horse recordings.
  • The smart textile device showed near-perfect agreement with the reference device in detecting each type of arrhythmia:
    • Sinoatrial blocks: ρc = 0.99
    • Sinus pauses: ρc = 0.96
    • Sinus arrhythmias: ρc = 0.96
    • Sinus tachycardia: ρc = 0.99
    • Second-degree AV blocks: ρc = 1.0 (perfect agreement)
  • Slight biases between devices were small enough not to impact clinical interpretation.

Conclusions and Implications

  • The smart textile ECG device is demonstrated to be a reliable and practical alternative to standard telemetric ECGs in horses for long-term monitoring.
  • Its ability to accurately monitor HRV and detect common physiological arrhythmias can support better cardiac health assessments in horses during rest.
  • Smart textile technology offers advantages such as improved comfort, less obtrusiveness, and the potential for easier use in field conditions or extended monitoring scenarios.
  • This validation supports future use of smart textiles in equine cardiology and suggests potential application in other animals or longer-term ambulatory monitoring.

Cite This Article

APA
McCrae P, Spong H, Moorehead J, Pearson W. (2025). Validation of a smart textile device for long-duration heart rate variability and detection of physiological arrhythmias in resting horses. BMC Vet Res, 21(1), 675. https://doi.org/10.1186/s12917-025-05120-0

Publication

ISSN: 1746-6148
NlmUniqueID: 101249759
Country: England
Language: English
Volume: 21
Issue: 1
Pages: 675
PII: 675

Researcher Affiliations

McCrae, Persephone
  • Department of Animal Biosciences, University of Guelph, Guelph, ON, N1G 2W1, Canada. perse.mccrae@myant.ca.
  • Animal Sciences Division, Myant Inc, Mississauga, ON, L5K 2L1, Canada. perse.mccrae@myant.ca.
Spong, Hannah
  • Department of Animal Biosciences, University of Guelph, Guelph, ON, N1G 2W1, Canada.
Moorehead, Jordyn
  • Department of Animal Biosciences, University of Guelph, Guelph, ON, N1G 2W1, Canada.
Pearson, Wendy
  • Department of Animal Biosciences, University of Guelph, Guelph, ON, N1G 2W1, Canada.

MeSH Terms

  • Animals
  • Horses
  • Heart Rate / physiology
  • Electrocardiography / veterinary
  • Electrocardiography / instrumentation
  • Textiles
  • Arrhythmias, Cardiac / veterinary
  • Arrhythmias, Cardiac / diagnosis
  • Male
  • Female
  • Horse Diseases / diagnosis

Conflict of Interest Statement

Declarations. Ethics approval and consent to participate: All experimental procedures were approved by the University of Guelph’s Animal Care Committee (Animal Use Protocol #4705) and were carried out in accordance with the national and institutional guidelines for the care and use of animals. Written informed consent was obtained from the owners of all the horses. Consent for publication: Not applicable. Competing interests: Authors P.M. and H.S. hold Mitacs Accelerate fellowships at Myant, Inc., the company that produces the smart textile system utilized in this study. No fees were received for the data collection, analysis, or preparation of this manuscript.

References

This article includes 42 references
  1. Reef VB, Bonagura J, Buhl R, Mcgurrin MKJ, Schwarzwald CC, van Loon G. Recommendations for management of equine athletes with cardiovascular abnormalities. J Vet Intern Med 2014;28(3):749–61.
    doi: 10.1111/jvim.12340pmc: PMC4895474pubmed: 24628586google scholar: lookup
  2. Muir WW, McGuirk SM. Pharmacology and pharmacokinetics of drugs used to treat cardiac disease in horses. Vet Clin North Am Equine Pract 1985;1(2):335–52.
    doi: 10.1016/S0749-0739(17)30759-9pubmed: 3878193google scholar: lookup
  3. Navas de Solis C. Exercising arrhythmias and sudden cardiac death in horses: review of the literature and comparative aspects. Equine Vet J 2016;48(4):406–13.
    doi: 10.1111/evj.12580pubmed: 27156002google scholar: lookup
  4. Bonagura JD, Miller MS. Junctional and ventricular arrhythmias. J Equine Vet Sci 1985;5:347–50.
  5. Hilwig RW. Cardiac arrhythmias in the horse. J Am Vet Med Assoc 1977;170(2):153–63.
    doi: 10.2460/javma.1977.170.02.153pubmed: 64466google scholar: lookup
  6. Kiryu K, Machida N, Kashida Y, Yoshihara T, Amada A, Yamamoto T. Pathologic and electrocardiographic findings in sudden cardiac death in racehorses. J Vet Med Sci 1999;61(8):921–8.
    doi: 10.1292/jvms.61.921pubmed: 10487232google scholar: lookup
  7. Martin B, Reef VB, Parente EJ, Sage AD. Causes of poor performance of horses during training, racing, or showing: 348 cases. J Am Vet Med Assoc 2000;216(4):554–8.
    doi: 10.2460/javma.2000.216.554pubmed: 10687012google scholar: lookup
  8. Verheyen T, Decloedt A, De Clercq D, Deprez P, Sys SU, Van Loon G. Electrocardiography in horses - Part 1: How to make a good recording. Vlaams Diergeneeskundig Tijdschrift 2010;79:331–6.
  9. Ille N, Aurich J, Erber R, Aurich C. Comparison of heart rate and heart rate variability obtained by heart rate monitors and simultaneously recorded electrocardiogram signals in nonexercising horses. J Vet Behav Clin Appl Res 2014;9(6):341–6.
  10. Raekallio M. Long term ECG recording with Holter monitoring in clinically healthy horses. Acta Vet Scand 1992;33(1):71–5.
    doi: 10.1186/BF03546937pmc: PMC8117866pubmed: 1598859google scholar: lookup
  11. Bowen IM. Ambulatory electrocardiography and heart rate variability. In: Marr CM, Bowen M, editors. Cardiology of the horse. 2nd ed. Philadelphia, USA: Saunders Elsevier; 2010. pp. 127–37.
  12. Vezzosi T, Vitale V, Sgorbini M, Tognetti R, Bonelli F. Two methods for 24-hour Holter monitoring in horses: evaluation of recording performance at rest and during exercise. J Equine Vet Sci 2019;79:127–30.
    doi: 10.1016/j.jevs.2019.06.001pubmed: 31405491google scholar: lookup
  13. Reef VB. Arrhythmias. In: Marr CM, editor. Cardiology of the horse. 1st ed. London: W.B. Saunders Co; 1999. p. 181.
  14. Rezakhani A, Pirie RS, Blissitt KJ. Effects of age on the prevalence of cardiac dysrhythmias in ponies. Iran J Vet Res 2010;11(3):200–5.
  15. Sebdani MM, Rezakhani A, Pourjafar M, Chalmeh A. The comparative practical efficiency of short-term electrocardiography and 24-hour Holter monitoring for evaluating the cardiac electrical activity of horses. Vet Arh 2019;89(3):267–77.
  16. Bonagura JD, Reef VB. Disorders of the cardiovascular system.. 2003;p. 433.
  17. Vezzosi T, Tognetti R, Buralli C, Marchesotti F, Patata V, Zini E. Home monitoring of heart rate and heart rhythm with a smartphone-based ECG in dogs.. Vet Rec 2019;184(3):96.
    doi: 10.1136/vr.104917pubmed: 30559174google scholar: lookup
  18. Mitchell KJ. Equine electrocardiography.. Vet Clin North Am - Equine Pract 2019;35(1):65–83.
    doi: 10.1016/j.cveq.2018.12.007pubmed: 30871826google scholar: lookup
  19. Young LE, van Loon G. Diseases of the heart and vessels.. 2014;p. 695–743.
  20. Broux B, De Clercq D, Decloedt A, Van Der Vekens N, Verheyen T, Ven S. Atrial premature depolarization-induced changes in QRS and T wave morphology on resting electrocardiograms in horses.. J Vet Intern Med 2016;30(4):1253–9.
    doi: 10.1111/jvim.13957pmc: PMC5089572pubmed: 27209267google scholar: lookup
  21. Lymberis A, Olsson S. Intelligent biomedical clothing for personal health and disease management: state of the Art and future vision.. Telemed J e-Health 2003;9(4):379–86.
    doi: 10.1089/153056203772744716pubmed: 14980096google scholar: lookup
  22. Pantelopoulos A, Bourbakis NG. A survey on wearable sensor-based systems for health monitoring and prognosis.. IEEE Trans Syst Man Cybern Part C Appl Rev 2010;40(1):1–12.
  23. Cherenack K, Van Pieterson L. Smart textiles: challenges and opportunities.. J Appl Phys 2012;112(9).
  24. Guidi A, Lanata A, Valenza G, Scilingo EP, Baragli P. Validation of smart textile electrodes for electrocardiogram monitoring in free-moving horses.. J Vet Behav 2017;17:19–23.
  25. McCrae P, Spong H, Rutherford AA, Osborne V, Mahnam A, Pearson W. A smart textile band achieves high-quality electrocardiograms in unrestrained horses.. Animals 2022;12(23):10–2.
    doi: 10.3390/ani12233254pmc: PMC9740902pubmed: 36496775google scholar: lookup
  26. Felici M, Nardelli M, Lanatà A, Sgorbini M, Pasquale Scilingo E, Baragli P. Smart textiles biotechnology for electrocardiogram monitoring in horses during exercise on treadmill: validation tests.. Equine Vet J 2021;53(2):373–8.
    doi: 10.1111/evj.13296pubmed: 32491229google scholar: lookup
  27. McCrae P, Spong H, Golestani N, Mahnam A, Bashura Y, Pearson W. Validation of an equine smart textile system for heart rate variability: A preliminary study.. Animals 2023;13(3):512–24.
    doi: 10.3390/ani13030512pmc: PMC9913118pubmed: 36766401google scholar: lookup
  28. Barbesgaard L, Buhl R, Meldgaard C. Prevalence of exercise-associated arrhythmias in normal performing dressage horses.. Equine Vet J 2010;42(SUPPL 38):202–7.
  29. Buhl R, Meldgaard C, Barbesgaard L. Cardiac arrhythmias in clinically healthy showjumping horses.. Equine Vet J 2010;42(SUPPL 38):196–201.
  30. Garcia TB, Miller GT. Sinus blocks, pauses and arrests.. 2004;pp. 142–7.
  31. Ulfberg JW, Clark JS. Bradydysrhythmias and atrioventricular conduction blocks.. Emerg Med Clin North Am 2006;24(1):1–9.
    doi: 10.1016/j.emc.2005.08.006pubmed: 16308110google scholar: lookup
  32. Menzies-Gow N. ECG interpretation in the horse.. Pract 2001;23(8):454–9.
    doi: 10.1136/inpract.23.8.454google scholar: lookup
  33. Keen JA, O’Connor SA. Evaluation of a novel ambulatory electrocardiogram monitor (the carnation ambulatory Monitor) for use in horses.. J Vet Cardiol 2021;34:16–28.
    doi: 10.1016/j.jvc.2020.12.005pubmed: 33548735google scholar: lookup
  34. Vitale V, Balocchi R, Varanini M, Sgorbini M, Macerata A, Sighieri C. The effects of restriction of movement on the reliability of heart rate variability measurements in the horse (Equus caballus).. J Vet Behav Clin Appl Res 2013;8(5):400–3.
  35. Veske-Lepp P, Van Steenkiste G, Thienpondt S, Cools J, De Pauw H, Bossuyt F. Development of 3D-formed textile-based electrodes with flexible interconnect ribbon.. Sensors 2025;25(2):1–15.
    doi: 10.3390/s25020414pmc: PMC11769503pubmed: 39860784google scholar: lookup
  36. McCrae P, Spong H, Mahnam A, Bashura Y, Pearson W. The impact of skin Preparation method on electrocardiogram quality in horses.. Can Vet J 2024;65(3):245–9.
    pmc: PMC10880388pubmed: 38434162
  37. Di Rienzo M, Racca V, Rizzo F, Bordoni B, Parati G, Castiglioni P. Evaluation of a textile-based wearable system for the electrocardiogram monitoring in cardiac patients.. Europace 2013;15(4):607–12.
    doi: 10.1093/europace/eus368pubmed: 23258818google scholar: lookup
  38. ter Woort F, Dubois G, Tansley G, Didier M, Verdegaal EL, Franklin S. Validation of an equine fitness tracker: ECG quality and arrhythmia detection.. Equine Vet J 2022;55(2):336–43.
    doi: 10.1111/evj.13565pmc: PMC10078706pubmed: 35138653google scholar: lookup
  39. Reef VB, Davidson EJ, Slack J, Stefanovski D. Hypercapnia and hyperlactatemia were positively associated with higher-grade arrhythmias during peak exercise in horses during poor performance evaluation on a high-speed treadmill.. Vet J 2020;266:105572.
    doi: 10.1016/j.tvjl.2020.105572pubmed: 33323171google scholar: lookup
  40. Turini L, Bonelli F, Lanatà A, Vitale V, Nocera I, Sgorbini M. Validation of a new smart textiles biotechnology for heart rate variability monitoring in sheep.. Front Vet Sci 2022;9:1018213.
    doi: 10.3389/fvets.2022.1018213pmc: PMC9722759pubmed: 36483489google scholar: lookup
  41. ter Woort F, Dubois G, Didier M, Van Erck-Westergren E. Validation of an equine fitness tracker: heart rate and heart rate variability.. Comp Exerc Physiol 2021;17(2):189–98.
    doi: 10.3920/CEP200028google scholar: lookup
  42. Eggensperger BH, Schwarzwald CC. Influence of 2nd-degree AV blocks, ECG recording length, and recording time on heart rate variability analyses in horses.. J Vet Cardiol 2017;19(2):160–74.
    doi: 10.1016/j.jvc.2016.10.006pubmed: 28117225google scholar: lookup

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